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ENDOSCOPY 2006

ENDOSCOPY 2006. A NEW WORLD BEGINS. www.thejag.org.uk. PMETB JCHMT, JCHST RCP, RCPed RCPSglas RCS, RCSed RCPGP RCN BSG ACP, AUGIS. TRAINING SITES. 3 NATIONAL CENTRES POLICY DECISION COURSE DEVELOPMENT 7 REGIONAL CENTRES TRAINING DELIVERY JAG APPROVED UNITS NOWHERE ELSE CAN TRAIN.

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ENDOSCOPY 2006

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  1. ENDOSCOPY 2006 A NEW WORLD BEGINS

  2. www.thejag.org.uk • PMETB • JCHMT, JCHST • RCP, RCPed • RCPSglas • RCS, RCSed • RCPGP • RCN • BSG • ACP, AUGIS

  3. TRAINING SITES • 3 NATIONAL CENTRES • POLICY DECISION • COURSE DEVELOPMENT • 7 REGIONAL CENTRES • TRAINING DELIVERY • JAG APPROVED UNITS • NOWHERE ELSE CAN TRAIN

  4. COURSES • JAG APPROVED • JAG COMPLIANT • MUST DO SPECIFIC COURSES • APPLIES TO ALL ENDOSCOPISTS

  5. COURSES • BASIC ENDOSCOPY • UPPER GI DIAGNOSTIC • FLEXIBLE SIGMOIDOSCOPY • COLONOSCOPY • ERCP • THERAPEUTIC UPPER • EUS • TTE / STT

  6. TRAINEES • SpR AND ABOVE – NOT SHO • NURSES • PERMANENT STAFF • GP’S • OTHERS

  7. TRAINEES • START WITH BASIC COURSE (Sp1) • MORE SPECIALIST COURSES LATER • Sp2/3 gastro trainees • At sub-specialisation – surgical (Sp3/4) • Only appropriate courses • No tick boxing

  8. TRAINEES • BASIC COURSE • COMPLETE CONSOLIDATION • DECLARATION OF COMPETENCE • ONLY THEN - MOVE ON TO NEXT

  9. TRAINERS • ON COURSES – TTT / TTE • AT BASE – TTT/TTE or STT • AIM • LOCAL TTT RESPONSIBLE • LOCAL TTT / STT DELIVERY

  10. TRAINERS • MAJOR CHANGES IMMINENT • NO TTT/TTE/STT • = NO TRAINEES • TRAINERS MUST BE IN ROOM AT ALL TIMES • TRAINING COLONOSCOPY COUNTS IN TRAINERS FIGURES

  11. ASSESSMENT • MEDICAL/SURGICAL • VIA RITA PROCESS • ? CERTFICATION • TRAINING LOG • DOPS FORMS • CONSOLIDATION FORMS • www.thejag.org.uk

  12. ASSESSMENT • OTHER MEDICAL • NURSES • OTHER ENDOSCOPISTS • REGISTER WITH JAG • PROVIDE LOG/DOPS EVIDENCE • ?CERTIFICATION

  13. ENDOSCOPY QA • ENDOSCOPY UNITS • GLOBAL RATING SCALE • JAG VISITS / REGISTRATION • ENDOSCOPISTS • ALL ENDOSCOPISTS ARE EQUAL • PERSONAL QA – BEGINS NOW

  14. ENDOSCOPY QA • STARTING WITH COLONOSCOPY • PRECIPITATED BY BSG AUDIT • MADE ESSENTIAL BY SCREENING • SCREENING QA (screen bar) DECIDED • TWO TIER SERVICE INCONCEIVABLE

  15. THE SCREEN BAR • MINIMUM OF 150 PER YEAR • LIFETIME PERF RATE < 1:1000 • ADENOMA DETECTION >15% • BASED ON PRIMARY DIAGNOSTIC SCOPE • 85% CAECAL INTUBATION RATE • BASED ON LIST DESCRIPTOR • NO DISCOUNTING ALLOWED • 90% IF YOU DISCOUNT

  16. THE SCREEN BAR • MCQ BASED ON LESION RECOGNITION • HANDS ON ASSESSMENT – RECORDED LIST OF 4 WITH IMAGER AND TRI-SCREEN • APPEALS POSSIBLE

  17. THE SCREEN • 10 – 15% NON NHS DELIVERY • SAME ASSESSMENT WILL APPLY

  18. THE SCREEN BAR • WILL EVENTUALLY APPLY TO ALL COLONOSCOPISTS: • IN NHS UNITS • IN DIAGNOSTIC CENTRES • IN PRIVATE HOSPITALS

  19. WELCOME TO THE FUTURE • QA IS ESSENTIAL • QA IS HERE TO STAY • UPDATE YOUR PRACTICE NOW • DEMAND MASTERCLASSES/UPDATES • MAKE SURE YOUR UNIT IS JAG’d • MAKE SURE YOU CAN TRAIN

  20. TRAINING IN THE FUTURE • DIDACTIC SESSIONS – ELECTRONIC • CENTRALIZED SIMULATED TRAINING • UNIT BASED PRACTICE (TTE/STT) • LESS TIME AWAY FROM BASE • RITA / JAG CERTIFICATION • CENTRAL FUNDING ENDS • LOCAL FUNDING BEGINS 2007 (WDD/WDC or DEANERY)

  21. TRAINING IN THE FUTURE • TRAINING MEANS TRAINING • IN THE ROOM • HANDS ON • NOT JUST “available” • UNTIL CERTIFIED

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